Dealer Order Form

Dealer Information

Dealer(*)

Invalid Input

Ordered By(*)

Invalid Input

Phone(*)

Invalid Input

Fax or Email(*)

Invalid Input

Confirmation Faxed(*)

Confirmation Faxed

Yes

No

Invalid Input

Quote or Order? (choose one)

Quote or Order? (choose one)

QuoteOrder

Invalid Input

Salesperson(*)

Invalid Input

Order Date(*)

Invalid Input

Trailer Information

Model #(*)

--choose one--Model DOBP Deck Over Bumper PullModel DOG Deck Over GooseneckModel ET Equipment TrailerModel L Landscape TrailerModel SFT Stationary Front TiltModel D Dump TrailerModel WTSS Wood Tilt Skid SteerModel WCH Wood Car HaulerModel DCH Diamond Plate Car HaulerModel DTGN Dual Tandem Goose NeckModel DTBP Dual Tandem Bumper PullModel DOFT Deck Over Full TiltModel DOGFT Deck Over Gooseneck Full Tilt Invalid Input

GVWR(*)

--choose one--2000299050007000800010,00012,00014,000160002000025500Custom (specify in Special Notes below) Invalid Input

Enter Cost(*)

Invalid Input

Include Reiser Logo?(*)

Include Reiser Logo?

YesNo

Invalid Input

Trailer Specifications

Color(*)

--choose one--BlackRedYellowGreenBlueGrayOrange Invalid Input

Pinstripe Color(*)

--choose one--NoneBlackRedYellowGreenBlueGrayOrange Invalid Input

Width(*)

--choose one--60"77"82"101.5" Invalid Input

Length(*)

--choose one--8'10'12'14'16'18'20'24'14 Flat 2' Dove16 Flat 2' Dove18' Flat 2' Dove12' Flat 4' Dove14' Flat 4' Dove16' Flat 4' Dove20' Flat 4' Dove20' Flat 5' Dove Invalid Input

Tires(*)

--choose one--RadialG-Range 14 Ply Radial (14,000 GVWR Only)17.5 RadialST205/75R15 5 LUGST225/75R15 6 LUGST235/80R16 8 LUGST235/80R16 8 LUG DUALLY235/85R16 8LUG LRG 215/75R17.5 LRH FOR 8K AXLESCustom (specify in Special Notes below) Invalid Input

Axles(*)

--choose one--2000#3500#3500# x25200#5200# x26000# x27000# x28000# x210000# x212000# x2 Invalid Input

Ramps / Gate Info(*)

--choose one--Stand Up RampsStand Up Ramps w/ Spring Asst.Lay Flat GateLay Flat Ramps (Deckovers Only)Stand Up GateStand Up Gate w/ Spring Asst.Slide In RampsNo RampsRugged RampsCustom (specify in Special Notes below) Invalid Input

Coupler(*)

--choose one--2"2 5/16"Adj. 2 5/16"Adj. PintleGooseneckKing Pin Invalid Input

Special Notes

Invalid Input

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